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Increasing EHR system usability through standards: Conformance criteria in the HL7 EHR-system functional model
Rebecca A Meehan1, Donald T Mon2, Kandace M Kelly3
1Kent State University, Kent, OH, USA.
Journal of Biomedical Informatics
|August 16, 2016
Summary
Improving electronic health record (EHR) system usability requires standards. This study outlines evidence-based EHR usability functional requirements and advocates for open, voluntary standards to enhance safety and reduce work-arounds.
Area of Science:
- Health Information Technology
- Human-Computer Interaction
- Healthcare Informatics
Background:
- Despite extensive research on health information technology usability, electronic health record (EHR) systems exhibit slow progress in usability.
- Poor EHR usability leads to user frustration, distrust, and unsafe work-arounds.
Purpose of the Study:
- To describe evidence-based functional requirements for EHR usability.
- To highlight the benefits of open and voluntary EHR system usability standards.
Main Methods:
- Review of the Health Level Seven (HL7) EHR System Functional Model for usability requirements.
- Analysis of the role of functional requirements and standards in EHR system development and implementation.
Main Results:
- The HL7 EHR System Functional Model provides a foundation for evidence-based usability requirements.
- Functional requirements and standards have historically driven EHR system improvements through certification and national strategies.
Conclusions:
- Implementing usability standards, similar to functional requirements, can address issues stemming from poor EHR usability.
- Open and voluntary usability standards offer a pathway to enhance EHR usability, safety, and user trust.
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